KEITH CAVANAUGH MD
NPI 1497830145
Pediatrics - Pediatric Pulmonology in Minneapolis, MN

Active since October 25, 2006PECOS EnrolledAccepts Medicare Assignment
2530 CHICAGO AVE S, SUITE 400, MINNEAPOLIS, MN 55404(612) 813-3300(612) 813-3349 Get Directions Write a Review

NPPES record last updated: March 2, 2011. Verified against the NPPES registry weekly; last sync: October 25, 2026.

About Keith Cavanaugh Md NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

KEITH CAVANAUGH MD (NPI 1497830145) is an individual pediatric pulmonology provider in Minneapolis, Minnesota, licensed in Minnesota (41590) and active in the NPI registry since October 2006. He is enrolled in Medicare PECOS, is affiliated with Gillette Childrens Specialty Hospital, and is a graduate of Loyola University Of Chicago, Stritch School Of Medicine (1996).

NPPES Registry Identity

NPI1497830145
Entity TypeIndividualMale
Primary Taxonomy2080P0214X
Provider Legal NameKEITH CAVANAUGHCredential: MD
Location Address2530 CHICAGO AVE S, SUITE 400Minneapolis, MN 55404-4387
Mailing Address2530 Chicago Ave S, Suite 400Minneapolis, MN 55404-4387 · (612) 813-3300 · Fax (612) 813-3349
Fax(612) 813-3349
Sole ProprietorNo
Medical School CMSLoyola University Of Chicago, Stritch School Of MedicineGraduated 1996
Enumeration DateOctober 25, 2006
Last NPPES UpdateMarch 2, 2011
✔ NPI 1497830145 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPediatrics · Pediatric PulmonologyAllopathic & Osteopathic Physicians
Taxonomy Code2080P0214X
Licenses✔ Licensed in MN · 41590✔ Licensed in CO · 40154
Definition
A pediatrician dedicated to the prevention and treatment of all respiratory diseases affecting infants, children and young adults. This specialist is knowledgeable about the growth and development of the lung, assessment of respiratory function in infants and children, and experienced in a variety of invasive and noninvasive diagnostic techniques.
2530 CHICAGO AVE S, Minneapolis, MN 55404

Other Identifiers 3

Medicare UPINH96614CO
Medicare PINC537118CO
Medicaid38376733CO

Accepted Insurance

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare and accepts Medicare assignment

Keith Cavanaugh Md is registered in PECOS and agrees to accept the Medicare-approved amount as full payment. Medicare patients are not billed beyond the standard deductible and coinsurance.

PECOS PAC ID8426955592
PECOS Enrollment IDI20091118000228
Eligible to Order & Refer✔ Part B Labs & Imaging✔ Durable Medical Equipment✔ Home Health Agency✔ Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Medicare Billing Reassignments

9

Medicare enrollment records show Keith Cavanaugh reassigns Medicare billing to 9 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

Pediatric Pulmonology
2530 CHICAGO AVE, SUITE 400
Minneapolis, MN 55404
  • Reassigned Medicare billing, Minnesota enrollment
  • Medicare enrollment name: Children's Respiratory & Critical Care Specialists PA
  • 38 clinicians in this Medicare group
Pediatric Cardiology
2525 CHICAGO AVENUE SOUTH
Minneapolis, MN 55404
  • Reassigned Medicare billing, Minnesota enrollment
  • 551 clinicians in this Medicare group
Primary Care
814 SOUTH 3RD ST
Minneapolis, MN 55415
  • Reassigned Medicare billing, Minnesota enrollment
  • 1,453 clinicians in this Medicare group
Multi-Specialty
2312 S 6TH ST STE F105
Minneapolis, MN 55454
  • Reassigned Medicare billing, Minnesota enrollment
  • 3,633 clinicians in this Medicare group
General Acute Care Hospital
2450 RIVERSIDE AVE
Minneapolis, MN 55454
  • Reassigned Medicare billing, Minnesota enrollment
  • 4,038 clinicians in this Medicare group
Physical Therapy
2450 RIVERSIDE AVE
Minneapolis, MN 55454
  • Reassigned Medicare billing, Minnesota enrollment
  • 2,373 clinicians in this Medicare group
Anesthesiology
909 FULTON ST SE
Minneapolis, MN 55455
  • Reassigned Medicare billing, Minnesota enrollment
  • 1,662 clinicians in this Medicare group
Multi-Specialty
200 EAST UNIVERSITY AVE
St. Paul, MN 55101
  • Reassigned Medicare billing, Minnesota enrollment
  • Medicare enrollment name: Gillette Childrens Specialty Healthcare
  • 304 clinicians in this Medicare group
Multi-Specialty
1413 HIGHWAY 33 S
Cloquet, MN 55720
  • Reassigned Medicare billing, Minnesota enrollment
  • 1,460 clinicians in this Medicare group

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Hospital Affiliations CMS Care Compare

Hospitals where this provider delivers care, identified from recent Medicare claims and place-of-service records.

Gillette Childrens Specialty Hospital

Childrens · Saint Paul, MN
OwnershipGovernment - Hospital District or Authority
CMS Certification Number243300
Location200 University Avenue EastSaint Paul, MN 55106 · Ramsey County

Referred Medical Equipment & Supplies CMS DME claims 22

Durable medical equipment, devices and supplies this provider ordered from DME suppliers for patients, from Medicare fee-for-service claims.

Sterile water, saline and/or dextrose, diluent/flush, 10 ml A4216
DME-Medical/Surgical Supplies · category DA000N
3 suppliers18 claims950 services$0.41 avg. paid by Medicare
Sterile water/saline, 500 ml A4217
DME-Medical/Surgical Supplies · category DA000N
3 suppliers14 claims464 services$3.03 avg. paid by Medicare
Bedside drainage bag, day or night, with or without anti-reflux device, with or without tube, each A4357
DME-Orthotic Devices · category DF000N
1 supplier12 claims56 services$9.39 avg. paid by Medicare
Tracheal suction catheter, any type other than closed system, each A4624
DME-Other DME · category DE000N
3 suppliers21 claims2,142 services$2.51 avg. paid by Medicare
Tracheostomy care kit for established tracheostomy A4629
DME-Orthotic Devices · category DF000N
2 suppliers15 claims427 services$3.98 avg. paid by Medicare
Appliance cleaner, incontinence and ostomy appliances, per 16 oz. A5131
DME-Orthotic Devices · category DF000N
1 supplier12 claims12 services$13.02 avg. paid by Medicare
Dollar amounts are the average Medicare paid the supplier per service. They are not the cost to the patient.

Other Providers at the Same Location NPPES 3

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

Pediatrics (Pediatric Critical Care Medicine)
2530 CHICAGO AVE S, SUITE 400
MINNEAPOLIS, MN 55404
Pediatrics (Pediatric Critical Care Medicine)
2530 CHICAGO AVE S, SUITE 400
MINNEAPOLIS, MN 55404
Pharmacy (Community/Retail Pharmacy)
2530 CHICAGO AVE S, CSC 225
MINNEAPOLIS, MN 55404

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Keith Cavanaugh's NPI number?

The NPI number for Keith Cavanaugh is 1497830145. It was assigned to this individual provider in the NPPES registry on October 25, 2006.

Where is Keith Cavanaugh located?

Keith Cavanaugh practices at 2530 Chicago Ave S Suite 400, Minneapolis, MN 55404. The listed phone number is (612) 813-3300.

What is Keith Cavanaugh's specialty?

The primary specialty registered for this NPI is Pediatrics, specializing in Pediatric Pulmonology, with taxonomy code 2080P0214X.

Is Keith Cavanaugh enrolled in Medicare?

Yes. Keith Cavanaugh is registered in the Medicare PECOS system and accepts Medicare assignment, which means accepting the Medicare-approved amount as payment in full for covered services.

Which organizations bill Medicare for Keith Cavanaugh's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Keith Cavanaugh reassigns Medicare benefits to 9 organizations: Children's Respiratory & Critical Care Specialists. P.A. (Minneapolis, MN), Children's Health Care (Minneapolis, MN), University Of Minnesota Physicians (Minneapolis, MN), Fairview Express Care (Minneapolis, MN), Fairview Health Services (Minneapolis, MN) and 4 more organizations, listed in the Medicare section above. Each reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for Keith Cavanaugh's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Keith Cavanaugh accept?

Health plans from HealthPartners, Sanford Health Plan and Security Health Plan list Keith Cavanaugh as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

Is Keith Cavanaugh affiliated with any hospitals?

According to CMS data, Keith Cavanaugh is affiliated with Gillette Childrens Specialty Hospital.

When was this NPI record last updated?

The NPPES record for Keith Cavanaugh was last updated on March 2, 2011. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 15 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.